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1053433474
KERI JEAN WAGNER
COMMACK, NY
NPI
1053433474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F334793)
Enumeration Date
2007-04-05
Last Update Date
2010-05-13
Business Address
Mrs. KERI JEAN WAGNER N.P.
650 COMMACK RD
COMMACK, NY 11725-5404
Phone number: 631-623-4000
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Mailing Address
Mrs. KERI JEAN WAGNER N.P.
650 COMMACK RD
COMMACK, NY 11725-5404
Phone number: 631-623-4000
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